DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Insurer Details

NAME	PacifiCare Life Assurance Company
DOI ID	301082
FEIN #	952829463
ALIEN #
State of Domicile	CO
Domicile Country
Merged Into
NAIC #	84506
NAIC Group #	707
Entity Type	Insurer
Admitted	9/11/1996
AM Best Rating
President	Susan Lynn Berkel
Process Agent	CT Corporation System Date Assigned : 11/26/2007 (See address table below for process agent address)
Authorized Insurer – these insurers are authorized to do the business of insurance by holding a Kentucky Certificate of Authority. Provides insurance coverage.

Type	Address
Agent Licensing Address	3100 Lake Center Drive Santa Ana, CA 92704
Mailing	5995 Plaza Drive Cypress, CA 90630
Process Agent	306 W. Main Street Suite 512 Frankfort, KY 40601
Statutory Home Office	c/o The Corporation Company 1675 Broadway Denver, CO 80202

Type	Number
Business / Home Office	(714) 825-5303
Licensing - Agent Licensing Phone	(714) 825-5335

Type	Internet Information
Annual Statement - Business Email	laura_english@uhc.com
Licensing - Business Email	linda.kaufman@phs.com